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"•rs N�•arN�.•.•a.•...••.•s.s...ass3$:3 N3:a33.:.•/ss.■...s....•..•/N•..i • H• • as : as:• : .• N•: : : :x::40a a3:a •::e::::s:::: ::a:: $ : 1 11 $aa a xs. .. $ $ $�$ x8.................6., Me uu • ■ Nu NH n NuuoHn.NNU, : 3 3••s museum ags:33:3:$a:s:::a:::::$uingin; to s . . . .. .,..., inn lusug NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, sheet, city, and State ZIP code Tel. No. 3 Owner or Lessee /• �•!//,t�,.I►1444/1 v �D _ c Builder's 2. Q.R/wC/9 !//! .�i�l p7� License No. Contractor 3. Architect or Engineer I hereby certify that the proposed work is authorize by the owner of record and that I have been authorized by the owner to make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Applica ion date n 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By Notes Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Obtained Number By Permit or Approval Check Obttaitned Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building r'/ FOR DEPARTMENT USE ONLY Permit number 17 Building � Use Group Permit issued 19 - Fire Grading Building Permit Fee $ Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ Ii"ITLE CITY OF NORTHAMPTON �. MASSACHUSETTS OFFICE of the INSPECTOR of BUILDINGS Page ? Plot $'2_ APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all it/ems in sections: 11,, II, 111, IV, and IX. O I• AT (LOCATION) �r ��r�� / / y=ar.I !(.{'a— DIO / STR CTIJ LOCATION (NO') (STREET) Lo OF BETWEEN JF/npV�4t/f.I' J �r AND 'O/+ '�I ��'C►'`t� BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m m 1 ❑ New building Residential _ Nonresidential 2 El Addition(If residential, enter number 12 ne family 18 0 Amusement, recreational of new housing units added, if any, in Part D, 13) 13 Two or more family - Enter 19 L] Church, other religious number of units- - - - --3p. 20 L Industrial 3 ©Alteration (See 2 above) 14 Transient hotel, motel, 21 C_� parking garage 4 Repair, replacement or dormitory - F.nter number 5 ❑ Wrecking (If multi family residential, of units ------- - ! 22 L� Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24� Office, bank, professional 6 � Moving (relocation) ❑ 17 L] Other - Specify 25 Public utility 7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 -_-j__Private (individual, corporation, 28 n Tanks, towers nonprofit institution, etc.) 29 Other - Specifv 9 D Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food n�a processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, 0. dOd school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. Electrical....................... b. Plumbing ..................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............. - 11. TOTAL COST OF IMPROVEMENT $ III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑ Masonry (wall bearing) 40 Lblic or private company 48. Number of stories.............. 31 F�and frame 41 D Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior 32 Structural steel dimensions ..................... 33 Reinforced concrete H. TYPE OF WATER SUPPLY 34 Other - Specify 42 �Public or private company 50. Total land area, sq. fT. .......... 43 L__] Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ...................... 35 �as Will there be central air 52. Outdoors........................ conditioning? 36 �] Oil L. RESIDENTIAL BUILDINGS ONLY 37 Qj Electricity 44 [_] Yes 45 !� 53. Number of bedrooms.............. 38 Coal 39 Other - Specify Will there be an elevators Full.......... 54. Number of 46 ] Yes 47I� No bathrooms Partial....... T�F City of Northampton REQUIRED INSPECTIONS $ 1 . Footings and Walls r BUILDING DEPARTMENT a . Structural Components in . Place 3 . Complete Building No. Office of the Building Inspector Date June 28- 19_8.9 BUI DING P RMIT THIS MAY CERTIFY THAT Yankee Millwork Insp. on Site — Foundations has permission to Alter One Family Dwelling Insp. of Plumbing — Rough situated on 23 Carolyn St. , Florence Insp. of Plumbing — Finish provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough spect conform to the terms of the application on file in this office, and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks) the City of Northampton. Any violation of any of the terms above noted is an immediate revocation of this permit. Expires six Building Insp. — Rough months from date. Building Insp. — Finish Note: A certificate of occupancy will be issued by this office upon return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.) Inspectors. Gas Inspection THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS ACE PREMISES Certificate of Occupancy Building Inspector PAIN, T SN P